California
Department of Consumer Affairs
DIAZ MANUEL
Pharmacy - Designated Representative (Exemptees)
License number
17092
Date granted
07/24/2003
Date expires
07/01/2016
Class
Pharmacy - Designated Representative (Exemptees)
Status
Clear
Address
1700 COFFEE RD MODESTO CA 95355
californialicensing.org
ID 11669202
LAST UPDATED 2024-02-12 04:05:46 UTC
LAST UPDATED 2024-02-12 04:05:46 UTC
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